Doctor Name: | MS. DEBRA K. MATOS |
NPI Number: | 1134205180 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW C |
License Number: | 12916 |
Business Practice Address: | 10410 Kensington Pkwy Ste Suite #223 Kensington, MD - 208952943 |
Business Phone Number: | 2404262402 |
Business Fax Number: | |
Mailing Address: | 5515 Oakmont Avenue, BETHESDA |
State: | MD |
Postal Code: | 20817 |
Phone Number: | 3015302379 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |